2017-428-E DSS - KAH Care, L.L.C dba Right at Home for in-home aides services

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DocuSign Envelope ID:695BA350-46C5-40DD-8F45-F768C9663EB4 ATTACHMENT M STATE AND LOCAL CERTIFICATION Contractor Certifications Required by North Carolina Law Orange County Department of Social Services Instructions The person signs ig ns this document should read the text of the statutes listed below and consult with counsel and other knowledgeable persons before signing. • The text of Article 2 of Chapter 64 of the North Carolina General Statutes can be found online at: httn:l/www.nega.state.nc.us/EnactedLegislation/Statutes/PDFBvArticle/Chapter_64/Article 2.pdf • The text of G.S. 105-164.8(b)can be found online at: ! http://www.nega.state.ne.us/EnactedLet;islation/Statutes/PDF/BySection/Chapter_105/GS_ 105-164.8.pdf • • The text of G.S. 143-48.5 (S.L. 2013-418, s. 2.(d))can be found online at: http:l/www.ncga.state.nc.us/Sessions12013/Bills/House/PDF/H786v6.pdf • The text of G.S. 143-59.1 can be found online at: http://www.ncga.state.is.us/EnactedLegislation/Statutes/PDF/BVSection/Chapter 143/GS 143-59.1.pdf • The text of G.S. 143-59.2 can be found online at: http://www.ncga.state.nc.us/EnactedLegi station/Statutes/PDF/BySection/Chapter_143/G S_143-59.2.pdf • The text of G.S. 147-33.95(g)(S.L. 2013-418, s. 2. (e))can be found online at: http://www.ncga.state.ne.us/Sessions/2013Bills/House/PDF/H786v6.pdf • The text of Orange County Living Wage Contractor Policy which is attached to this document. Certifications (1) Pursuant to G.S. 143-48.5, the undersigned hereby certifies that the Contractor named below, and the Contractor's subcontractors, complies with the requirements of Article 2 of Chapter 64 of the NC General Statutes, including the requirement for each employer with more than 25 employees in North Carolina to verify the work authorization of its employees through the federal E-Verify system." E-Verify System Link: www.uscis.gov Local government is specifically exempt from Article 2 of Chapter 64 of the North Carolina General Statutes. However, local government is subject to and must comply with North Carolina General Statute§153A-99.1., which states in part as follows: Counties Must Use E-Verify. -Each county shall register and participate in E-Verify to verify the work authorization of new employees hired to work in the United States. (2) Pursuant to G.S. 143-59.1(b), the undersigned hereby certifies that the Contractor named below is not an "ineligible Contractor"as set forth in G.S. 143-59.1(a)because: (a) Neither the Contractor nor any of its affiliates has refused to collect the use tax levied under Article 5 of Chapter 105 of the General Statutes on its sales delivered to North Carolina when the sales met one or Contractor Certifications Required by North Carolina Law Page 1 of 3